DR. LAKSHMI MUDUNURI M.D. NPI 1508847823

NPI Information

DR. Lakshmi Mudunuri, M.D. is a geriatric psychiatry psychiatry neurology in Medford, MA with 47 years of experience. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. DR. Lakshmi Mudunuri, M.D. NPI is 1508847823. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

170 GOVERNORS AVE
MEDFORD, MA
ZIP 02155-643
Phone: (781) 306-6163
Fax: (781) 306-6146

The NPI 1508847823 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/14/2005 and was last updated on 5/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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